July 1, 2017
(Refer to applicable Travel Directive Appendices A, B, C and D, as well as GAC – United States of America Mileage/Kilometre Rates or GAC – International Trade Kilometre Rates at Locations Abroad.)
Note: This document is intended only as a tool to facilitate discussion between the employee and authorizing manager prior to travel status. This tool may be subject to change.
Blanket Travel Authority–FISCAL YEAR: _________________________________
Blanket Travel Authority–Tracking Number: _______________________________
Employee Name: __________________________________________________
Department: ______________________________________________________
Employee Signature: ________________________ Date (y/m/d): ____________
Delegated Manager Signature: ________________ Date (y/m/d): _____________
Blanket Travel Authority–Geographic Location: ____________________________
Start Date (y/m/d): ___________________ End Date (y/m/d): ________________
Maximum number of consecutive travel days: _____________________________
Maximum dollar value/limitation for each individual trip: _____________________
Travel Advance: YES___ NO___ Specified Travel Advance Amount Limit: _______
Trip Purpose: _____________________________________________________
|
Article Ref. |
Category |
Yes = Y |
Detail |
|---|---|---|---|
|
3.1.1 |
Accommodation |
Hotel – daily room rate |
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Hotel – service charges |
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Bed and breakfast |
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Motels |
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Lodging facilities |
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Commercial accommodation – other |
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Crown owned, leased, or operated facilities |
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Colleges |
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Universities |
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Educational institutions |
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Federal government training centers |
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Hospitals |
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Military establishment – Canadian |
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Military establishment – foreign |
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Tents |
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Trailers |
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Government and institutional accommodation – other |
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Non-commercial facilities |
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Private dwelling |
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Private accommodation – other |
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3.1.2 |
Additional business expense |
Facsimiles |
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Health certificate (Health Canada) |
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Inoculations |
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Internet connections |
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Office equipment – rental |
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Office equipment – transportation |
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Entry documents (CanPass) |
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Entry documents (NEXUS) |
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Passport |
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Photocopies |
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Photos – passport and/or visa |
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Required personal effects |
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Service charge – automated banking machine |
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Service charge – credit/debit card usage |
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Service charge – government travel card usage |
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Service charge – safety deposit box |
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Service charge – traveller's cheques |
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Telephone expenses (business calls) |
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Telephone expenses (due to altered schedule/itinerary) |
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Vaccinations |
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Visa (entry permits) |
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Word processing services |
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X-rays |
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Business expense – other |
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3.1.3 |
Bottled water |
Bottled water – reasonable amounts of bottled water (based on receipts). |
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3.1.4 |
Currency exchange |
Commission charged |
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Conversion gain |
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Conversion loss |
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Fee – automated teller machine service charge |
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Fee – service charge |
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Fee – travel card usage charge |
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Currency exchange – other |
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3.1.5 |
Dependant care |
With accommodation overnight – up to $35.00 Cdn per household, per day |
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With accommodation overnight – up to $75.00 Cdn maximum, per household, per day |
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With accommodation overnight – other provide explanation |
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3.1.6 |
Home communication |
N/A |
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3.1.7 |
Incidental allowance |
With accommodation overnight – incidental allowance as per Appendix C or D, as applicable. |
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3.1.8 |
Insurance |
N/A |
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3.1.9 |
Meals |
Daily Comprehensive Allowance |
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Breakfast – meal allowance Appendix C or D, as applicable |
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Breakfast – prepaid (e.g. conference, voucher, included in room rate, etc.) |
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Lunch – meal allowance Appendix C or D, as applicable |
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Lunch – prepaid (e.g. conference, voucher, included in room rate, etc.) |
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Dinner – meal allowance Appendix C or D, as applicable |
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Dinner – prepaid (e.g. conference, voucher, included in room rate, etc.) |
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3.1.10 |
Rest periods |
N/A |
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3.1.11 |
Transportation |
Disrupted travel pattern (residence to workplace) |
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Docking fees |
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Ferries |
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Transportation – other |
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Parking lot |
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Parking meter |
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Transportation prepaid |
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Passenger – no charge |
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Tolls (e.g. road, tunnel, bridge) |
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Bus charter |
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Bus (local) |
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Shuttles |
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Subway |
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Taxi – chit utilized (do not enter charge) |
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Taxi – receipts |
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Commercial – other |
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Motorcycle – rental |
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Motorcycle – helmet rental |
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Other mode of transportation |
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Snowmobile – rental |
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Snowmobile – privately owned |
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Snowmobile – helmet rental |
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Watercraft – privately owned |
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Watercraft – rental |
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Crown owned and/or leased |
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Insurance charge (not otherwise covered) |
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Vehicle – other |
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Private motor vehicle (kilometric rate) |
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Rental – drop-off charge |
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Rental – fuel charge |
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Rental – insurance charge |
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Rental – compact |
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Rental – intermediate (standard) |
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Rental – large (non-standard) |
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Rental – Other |
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Rental – insurance charge |
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Rental – Provincial Sales Tax |
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Rental – Quebec Sales Tax |
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Rental – Harmonized Sales Tax |
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Rental – Goods and Services Tax |